MASTER INSTRUCTOR SESSION REPORTS

AMP Tutor Report
(PLEASE NOTE: Fields marked with an asterisk (*) required.)

Session Date:
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Student Name:
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Tutor Code:
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Approximate Start of Session:
Please select8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM

Approximate Length of Session
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Please select0.50 hr1.00 hr1.50 hrs2.00 hrs2.50 hrs3.00 hrs3.50 hrs4.00 hrs

Miles Driven (Round Trip):
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Talk-Work-Play Distribution
(e.g. T-W-P-W-W-P-T-W)

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Student Skill Score (SSS) Data

Please answer the following SEVEN questions below as quickly as possible, and using your best judgement.
Q1. How well is the youth working/cooperating with you during the session?
(10=Very cooperative; 1=Not cooperative at all/Very distracted)

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 10  
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 1 
Q2. How excited/enthusiastic was the youth in working during the sessions of the week?
(10=Very Enthusiastic and Participative; 1=Not Participative at all)

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 10  
 9 
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 1 
Q3. How well is the youth grasping the material presented during sessions?
(10=Understands everything; 1=Did not understand a single topic)

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 10  
 9 
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 1 
Q4. How easy was it to schedule and keep appointments for the week?
(10=Scheduling on time, session start on time, no rescheduling;
1=Had to reschedule multiple time, session started late/ended early, no show)

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 10  
 9 
 8 
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 2 
 1 
Q5. How frequent were the visits in the last 3 weeks (3 is great, 1 or 0 is not so great)?
(10=THREE two-hour sessions per week; 1=No sessions prior to this in the last three weeks)

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 10  
 9 
 8 
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 2 
 1 
Q6. Were you able to assess a positive difference in attitude in school and/or noted improvement in grades?
(10=Positive attitude change PLUS school/parent/student account of grade increase)

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 10  
 9 
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 1 
Q7. How encouraging were parents/guardian of the youth’s efforts, and of the tutoring being offered?
(10=Parents accessible, working space perfect, no interference during session;
1=Parents can’t be reached, poor working space, interference during session)

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 10  
 9 
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 5 
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 3 
 2 
 1 


Materials Used

(One material listed per line please. It may e a book description outside of the student’s regular book, an AMP Worksheet – please indicate number – or a link to a site of a pdf worksheet used.)





Report Summary

Please provide a summary of your session with the student (100 words minimum, 250 words maximum)

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